For Providers & Care Teams

Help eligible patients access the treatment they’ve been prescribed.

Triple Aim Health Foundation provides charitable financial assistance to eligible Medicare Part D patients who need help with out-of-pocket costs for certain provider-administered prescription medications.

Providers and care teams can help identify potential candidates, assist with applications, and provide clinical information when needed.

Which patients may qualify?

A patient may be eligible if they:

Triple Aim Health Foundation independently determines eligibility. Meeting the initial requirements does not guarantee assistance.

  • Are enrolled in Medicare Part D
  • Have a qualifying diagnosis and prescribed provider-administered medication
  • Have household income at or below 300% of the applicable Federal Poverty Level
  • Live in the United States or a U.S. territory and receive treatment there
  • Meet the Fund’s current program requirements

How your office can help

Identify potential candidates

If a Medicare Part D patient is having difficulty affording a qualifying provider-administered prescription, your team may refer the patient to Triple Aim or assist with the application.

Assist with the application

A healthcare provider, clinic representative, pharmacy representative, family member, caregiver, or other appropriately authorized representative may help complete an application on the patient’s behalf.

Applications include information about the patient’s Medicare Part D coverage, diagnosis, prescribed medication, household income, and prescribing provider.

Provide clinical information

Triple Aim may contact the prescribing office to verify information relevant to eligibility, including the patient’s diagnosis, prescribed medication, prescribing provider, or other clinical details.

Clinic and provider staff may provide an ICD-10-CM code when available.

Independent eligibility. Independent treatment decisions.

Triple Aim provides financial assistance and does not prescribe medications, recommend treatments, or make medical decisions.

Treatment decisions remain between the patient and their healthcare provider. Eligibility and award decisions are made independently by Triple Aim and are not conditioned on the use of a particular provider, clinic, pharmacy, manufacturer, product, referral source, donor, or funding source.

Questions about a patient or application?

For questions about eligibility, an application, or an existing award, contact:

applications@tripleaimfoundation.org